RADMANESH DENTAL PROFESSIONAL CORPORATION
NPI 1750157541
Clinic/Center - Dental in Sherman Oaks, CA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

Active since December 01, 2023

4955 VAN NUYS BLVD STE 716, SHERMAN OAKS, CA 91403(818) 616-3305(818) 646-0393 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Dental

About RADMANESH DENTAL PROFESSIONAL CORPORATION

This page provides the complete NPI Profile along with additional information for Radmanesh Dental Professional Corporation, a provider established in Sherman Oaks, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1750157541 assigned on December 2023. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Parham Radmanesh (Owner)

NPI: 1750157541 Verify this NPI
Provider Name: RADMANESH DENTAL PROFESSIONAL CORPORATION
Entity Type: Organization
Location Address: 4955 VAN NUYS BLVD STE 716 SHERMAN OAKS, CA 91403
Location Phone: (818) 616-3305
Location Fax: (818) 646-0393
Mailing Address: 4955 VAN NUYS BLVD STE 716 SHERMAN OAKS, CA 91403
Mailing Phone: (818) 616-3305
Mailing Fax: (818) 646-0393
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 12-01-2023
Last Update Date: 12-01-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Dental
Taxonomy Code: 261QD0000X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: PARHAM RADMANESH
Authorized Official Title: OWNER
Authorized Official Phone: (818) 616-3305